About Sound Physicians:
Headquartered in Tacoma, WA, Sound Physicians is a physician-founded and led, national, multi-specialty medical group made up of more than 1,000 business colleagues and 4,000 physicians, APPs, CRNAs, and nurses practicing in 400-plus hospitals across 45 states. Founded in 2001, and with specialties in emergency and hospital medicine, critical care, anesthesia, and telemedicine, Sound has a reputation for innovating and leading through an ever-changing healthcare landscape – with patients at the center of the universe.
Sound Physicians offers a competitive benefits package inclusive of the items below, and more:
- Medical insurance, Dental insurance, and Vision insurance
- Health care and dependent care flexible spending account
- 401(k) retirement savings plan with a company match
- Paid time off (PTO) begins accruing immediately upon start date at a rate of 15 days per year, in accordance with Sound’s PTO policy
- Ten company-paid holidays per year
About the Role:
The Director of Payer Credentialing is responsible for developing an internal payer enrollment checklist, processes, and assigning responsibilities for tracking the progress for all Sound providers. This role will also ensure the team lends support to applicants as appropriate; Establish timeline targets and monitor progress of payer credentialing. Serving as a key member of the revenue cycle leadership team, this role will be responsible for actively contributing valued insights to stakeholders and strive for continuous process improvement. This position provides a proactive interface between leadership and operations – integral to company’s revenue cycle.
The individual is the linchpin for initiating all revenue for Sound Physicians achieving successful delivery of enrollment activities, including regulatory requirements according to time, quality/scope and budget constraints.
Essential duties and responsibilities:
- Implement new, as well as optimize existing, tools, processes, systems, and products that streamline the Payer Enrollment team’s work and increase their efficiency/accuracy (i.e standardized playbooks, communication templates, training materials, resource guides, automation features, advanced tooling, etc.)
- Must understand the clinician life cycle of employment from Hire Date including both obtaining hospital privileges and payer enrollment.
- Lead the tracking and measurement of team OKRs as it relates to performance, capacity, margin, and growth targets.
- Develop an effective reporting infrastructure with regular monitoring, accommodating ad hoc requests, and analysis of quality and production outcomes for associates and implement corrective action plans as necessary.
- Maintain master roster of Sound TINs/locations, working closely with stakeholders to strategically select new business TINs in accordance with Sound’s strategic initiatives.
- Actively engages and collaborates with third party billing vendor(s) to ensure timely filing of claims.
- Ensure management team is accurately monitoring performance through coaching, feedback, documentation and disciplinary actions in collaboration with Human Resources.
- Manage the department in accordance with budget, identify variances and make recommendations to address.
- Manage the product and system implementation in accordance with the business requirements and User Acceptance Testing processes in an accurate and timely manner.
- Work cross functionally to develop fully informed views and insights into the drivers behind the data, and present findings clearly and concisely.
- Accurately gather, synthesize, analyze and communicate timely relevant information to support decision making and to develop process improvement strategies.
- Develop strategic plans for Provider Enrollment resources and ensure goals and objectives are properly defined, implemented and tracked to execution.
Special knowledge, skills, and abilities needed to perform your job:
- Consistently learns about industry best practices and bring new ideas to the organization about how to drive efficiency, growth and customer outcomes
- Effectively develop leaders at various levels of professional tenure
- Ability to multi-task and prioritize workload in a fast-paced environment where priorities change often
- Excellent organizational abilities, written and oral communication skills
- Creative and persistent problem solver with an ability to present solutions to complex problems
- Attention to detail and accuracy with an ability to summarize difficult concepts to all levels of management in short, consumable bites and/ or concepts
- Client service oriented (both internal and external), harnesses soft skills in communicating difficult decisions and ensuring various levels of colleagues understand messaging
- Ability to interact and communicate with individuals at all levels of organization
- Strong interpersonal skills to handle sensitive situations and confidential information
- Anticipates needs three steps ahead and develops mitigation prior to the need
Education and Experience:
Education:
- Required: Bachelor’s degree or equivalent experience
Experience:
- Preferred: 8+ years in in enrollment/credentialing/Provider Data Management and degree in a related area and 4-7 years of experience in a clinical, revenue cycle, and/or physician practice setting. Experience with Verity Stream suite strongly preferred.
- Required: 5-7 + years in in enrollment/credentialing/Provider Data Management and degree in a related area and 4-7 years of experience in a clinical, revenue cycle, and/or physician practice setting. Including 3-5 years of experience managing teams, contracting budgets and strategic projects (out sourcing, implementation of systems, mergers & acquisitions, etc.)
- Required: Ability to work in a group setting, compete projects independently within established timeframes. Advanced understanding/knowledge of computer data entry, All Microsoft Office suite products, and ability to navigate through any business related software.
Other details:
- Indoor office environment
- Travel required: 2-5 trips per year
Pay Range: $115,000-$140,000 annually. In addition, Directorsare eligible for a bonus opportunity. Exact pay will be determined based on candidate experience and geographical location.
This job description reflects the present requirements of the position. As duties and responsibilities change and develop, the job description will be reviewed and subject to amendment. The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. #SoundBC #ZR